2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

doi:10.1093/eurheartj/ehaa575

Practice Guideline

. 2021 Apr 7;42(14):1289-1367.

doi: 10.1093/eurheartj/ehaa575.

2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Collaborators

ESC Scientific Document Group:
Adnan Kastrati, Mamas A Mamas, Victor Aboyans, Dominick J Angiolillo, Hector Bueno, Raffaele Bugiardini, Robert A Byrne, Silvia Castelletti, Alaide Chieffo, Veronique Cornelissen, Filippo Crea, Victoria Delgado, Heinz Drexel, Marek Gierlotka, Sigrun Halvorsen, Kristina Hermann Haugaa, Ewa A Jankowska, Hugo A Katus, Tim Kinnaird, Jolanda Kluin, Vijay Kunadian, Ulf Landmesser, Christophe Leclercq, Maddalena Lettino, Leena Meinila, Darren Mylotte, Gjin Ndrepepa, Elmir Omerovic, Roberto F E Pedretti, Steffen E Petersen, Anna Sonia Petronio, Gianluca Pontone, Bogdan A Popescu, Tatjana Potpara, Kausik K Ray, Flavio Luciano, Dimitrios J Richter, Evgeny Shlyakhto, Iain A Simpson, Miguel Sousa-Uva, Robert F Storey, Rhian M Touyz, Marco Valgimigli, Pascal Vranckx, Robert W Yeh, Emanuele Barbato, Olivier Barthélémy, Johann Bauersachs, Deepak L Bhatt, Paul Dendale, Maria Dorobantu, Thor Edvardsen, Thierry Folliguet, Chris P Gale, Martine Gilard, Alexander Jobs, Peter Jüni, Ekaterini Lambrinou, Basil S Lewis, Julinda Mehilli, Emanuele Meliga, Béla Merkely, Christian Mueller, Marco Roffi, Frans H Rutten, Dirk Sibbing, George C M Siontis, Mohammed Chettibi, Hamlet G Hayrapetyan, Bernhard Metzler, Ruslan Najafov, Valeriy I Stelmashok, Marc Claeys, Zumreta Kušljugić, Plamen Marinov Gatzov, Bosko Skoric, Georgios Panayi, Martin Mates, Rikke Sorensen, Khaled Shokry, Toomas Marandi, Olli A Kajander, Philippe Commeau, Alexander Aladashvili, Steffen Massberg, Dimitrios Nikas, Dávid Becker, Ingibjörg J Guðmundsdóttir, Aaron J Peace, Roy Beigel, Ciro Indolfi, Nazipa Aidargaliyeva, Shpend Elezi, Medet Beishenkulov, Aija Maca, Olivija Gustiene, Philippe Degrell, Andrew Cassar Maempel, Victoria Ivanov, Peter Damman, Sasko Kedev, Terje K Steigen, Jacek Legutko, João Morais, Dragos Vinereanu, Dmitry Duplyakov, Marco Zavatta, Milan Pavlović, Marek Orban, Matjaž Bunc, Borja Ibañez, Robin Hofmann, Oliver Gaemperli, Yassin Bani Marjeh, Faouzi Addad, Eralp Tutar, Alexander Parkhomenko, Nina Karia

PMID: 32860058
DOI: 10.1093/eurheartj/ehaa575

Practice Guideline

2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Jean-Philippe Collet et al. Eur Heart J. 2021.

. 2021 Apr 7;42(14):1289-1367.

doi: 10.1093/eurheartj/ehaa575.

Collaborators

ESC Scientific Document Group:
Adnan Kastrati, Mamas A Mamas, Victor Aboyans, Dominick J Angiolillo, Hector Bueno, Raffaele Bugiardini, Robert A Byrne, Silvia Castelletti, Alaide Chieffo, Veronique Cornelissen, Filippo Crea, Victoria Delgado, Heinz Drexel, Marek Gierlotka, Sigrun Halvorsen, Kristina Hermann Haugaa, Ewa A Jankowska, Hugo A Katus, Tim Kinnaird, Jolanda Kluin, Vijay Kunadian, Ulf Landmesser, Christophe Leclercq, Maddalena Lettino, Leena Meinila, Darren Mylotte, Gjin Ndrepepa, Elmir Omerovic, Roberto F E Pedretti, Steffen E Petersen, Anna Sonia Petronio, Gianluca Pontone, Bogdan A Popescu, Tatjana Potpara, Kausik K Ray, Flavio Luciano, Dimitrios J Richter, Evgeny Shlyakhto, Iain A Simpson, Miguel Sousa-Uva, Robert F Storey, Rhian M Touyz, Marco Valgimigli, Pascal Vranckx, Robert W Yeh, Emanuele Barbato, Olivier Barthélémy, Johann Bauersachs, Deepak L Bhatt, Paul Dendale, Maria Dorobantu, Thor Edvardsen, Thierry Folliguet, Chris P Gale, Martine Gilard, Alexander Jobs, Peter Jüni, Ekaterini Lambrinou, Basil S Lewis, Julinda Mehilli, Emanuele Meliga, Béla Merkely, Christian Mueller, Marco Roffi, Frans H Rutten, Dirk Sibbing, George C M Siontis, Mohammed Chettibi, Hamlet G Hayrapetyan, Bernhard Metzler, Ruslan Najafov, Valeriy I Stelmashok, Marc Claeys, Zumreta Kušljugić, Plamen Marinov Gatzov, Bosko Skoric, Georgios Panayi, Martin Mates, Rikke Sorensen, Khaled Shokry, Toomas Marandi, Olli A Kajander, Philippe Commeau, Alexander Aladashvili, Steffen Massberg, Dimitrios Nikas, Dávid Becker, Ingibjörg J Guðmundsdóttir, Aaron J Peace, Roy Beigel, Ciro Indolfi, Nazipa Aidargaliyeva, Shpend Elezi, Medet Beishenkulov, Aija Maca, Olivija Gustiene, Philippe Degrell, Andrew Cassar Maempel, Victoria Ivanov, Peter Damman, Sasko Kedev, Terje K Steigen, Jacek Legutko, João Morais, Dragos Vinereanu, Dmitry Duplyakov, Marco Zavatta, Milan Pavlović, Marek Orban, Matjaž Bunc, Borja Ibañez, Robin Hofmann, Oliver Gaemperli, Yassin Bani Marjeh, Faouzi Addad, Eralp Tutar, Alexander Parkhomenko, Nina Karia

PMID: 32860058
DOI: 10.1093/eurheartj/ehaa575

Erratum in

Corrigendum to: 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation.
[No authors listed] [No authors listed] Eur Heart J. 2021 May 14;42(19):1908. doi: 10.1093/eurheartj/ehaa895. Eur Heart J. 2021. PMID: 33197246 No abstract available.
Corrigendum to: 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation.
[No authors listed] [No authors listed] Eur Heart J. 2021 May 14;42(19):1925. doi: 10.1093/eurheartj/ehab088. Eur Heart J. 2021. PMID: 33599727 No abstract available.
Corrigendum to: 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC).
[No authors listed] [No authors listed] Eur Heart J. 2021 Jun 14;42(23):2298. doi: 10.1093/eurheartj/ehab285. Eur Heart J. 2021. PMID: 33983428 No abstract available.
Correction to: 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC).
[No authors listed] [No authors listed] Eur Heart J. 2024 Feb 1;45(5):404-405. doi: 10.1093/eurheartj/ehad879. Eur Heart J. 2024. PMID: 38169432 No abstract available.

No abstract available

Keywords: European Society of Cardiology; Guidelines; acute cardiac care; acute coronary syndrome; angioplasty; anticoagulation; antiplatelet; apixaban; aspirin; atherothrombosis; betablockers; bivalirudin; bleedings; bypass surgery; cangrelor; chest pain unit; clopidogrel; dabigatran; diabetes; dual antithrombotic therapy; early invasive strategy; edoxaban; enoxaparin; fondaparinux; glycoprotein IIb/IIIa inhibitors; heparin; high-sensitivity troponin; minoca; myocardial infarction; myocardial ischaemia; nitrates; non-ST-elevation myocardial infarction; platelet inhibition; prasugrel; recommendations; revascularization; rhythm monitoring; rivaroxaban; stent; ticagrelor; triple therapy; unstable angina.

PubMed Disclaimer

Comment in

Management of acute coronary syndromes in patients presenting without persistent ST-segment elevation and coexistent atrial fibrillation.
Verdecchia P, Angeli F, Cavallini C. Verdecchia P, et al. Eur Heart J. 2021 May 21;42(20):2019. doi: 10.1093/eurheartj/ehaa906. Eur Heart J. 2021. PMID: 33167025 No abstract available.
Because of its association with major bleeding the ADP-binding enzyme creatine kinase should be estimated in studies of patients treated for non-ST-segment elevation acute coronary syndromes (NSTE-ACS).
Brewster LM. Brewster LM. Eur Heart J. 2021 Jun 14;42(23):2311-2312. doi: 10.1093/eurheartj/ehaa905. Eur Heart J. 2021. PMID: 33186454 Free PMC article. No abstract available.
Major bleeding and the ADP-binding enzyme creatine kinase in non-ST-segment elevation acute coronary syndromes.
Collet JP, Thiele H. Collet JP, et al. Eur Heart J. 2021 Jun 14;42(23):2313-2314. doi: 10.1093/eurheartj/ehaa908. Eur Heart J. 2021. PMID: 33186455 No abstract available.
Management of acute coronary syndromes in patients presenting without persistent ST-segment elevation and coexistent atrial fibrillation - Dual versus triple antithrombotic therapy.
Collet JP, Thiele H. Collet JP, et al. Eur Heart J. 2021 May 21;42(20):2020-2021. doi: 10.1093/eurheartj/ehaa909. Eur Heart J. 2021. PMID: 33186459 No abstract available.
High-risk NSTE-ACS: high time for robust data.
Kite TA, Gershlick AH. Kite TA, et al. Eur Heart J. 2021 Jan 21;42(4):352. doi: 10.1093/eurheartj/ehaa927. Eur Heart J. 2021. PMID: 33188591 Free PMC article. No abstract available.
Optimal timing of invasive angiography in non-ST-segment elevation acute coronary syndromes-do we need more data?
Jobs A, Collet JP, Thiele H. Jobs A, et al. Eur Heart J. 2021 Jan 21;42(4):353-354. doi: 10.1093/eurheartj/ehaa930. Eur Heart J. 2021. PMID: 33188593 No abstract available.
Prasugrel over ticagrelor in non-ST-elevation acute coronary syndromes: is it justified?
Kow CS, Zaihan AF, Hasan SS. Kow CS, et al. Eur Heart J. 2021 Jul 8;42(26):2609-2610. doi: 10.1093/eurheartj/ehaa880. Eur Heart J. 2021. PMID: 33205147 No abstract available.
Lesson learnt from the new 2020 ESC guidelines on NSTE-ACS: when clinical judgement precedes and overpasses weak recommendations.
Sanna GD. Sanna GD. Eur Heart J. 2021 Jul 8;42(26):2605-2606. doi: 10.1093/eurheartj/ehaa858. Eur Heart J. 2021. PMID: 33205151 No abstract available.
Prasugrel over ticagrelor in non-ST-elevation acute coronary syndromes: is it justified?
Collet JP, Thiele H. Collet JP, et al. Eur Heart J. 2021 Jul 8;42(26):2611-2612. doi: 10.1093/eurheartj/ehaa883. Eur Heart J. 2021. PMID: 33205156 No abstract available.
Lesson learnt from the new 2020 ESC guidelines on non-ST-segment elevation acute coronary syndrome: when clinical judgement precedes and overpasses weak recommendations. 2020 non-ST-segment elevation acute coronary syndrome guidelines on pre-treatment: primum non nocere!
Collet JP, Thiele H. Collet JP, et al. Eur Heart J. 2021 Jul 8;42(26):2607-2608. doi: 10.1093/eurheartj/ehaa861. Eur Heart J. 2021. PMID: 33205199 No abstract available.

Cited by

Beta-Blocker Use after Discharge in Patients with Acute Myocardial Infarction in the Contemporary Reperfusion Era.
Hu M, Hu S, Gao X, Yang Y. Hu M, et al. Medicina (Kaunas). 2022 Aug 30;58(9):1177. doi: 10.3390/medicina58091177. Medicina (Kaunas). 2022. PMID: 36143854 Free PMC article. Review.
Integrating mixed reality preparation into acute coronary syndrome simulation for nursing students: a single-group pretest-posttest study.
Moon SH, Jeong H, Choi MJ. Moon SH, et al. BMC Nurs. 2024 Jul 9;23(1):468. doi: 10.1186/s12912-024-02110-9. BMC Nurs. 2024. PMID: 38982463 Free PMC article.
Value of CT‑derived fractional flow reserve in identifying patients with acute myocardial infarction based on coronary computed tomography angiography.
Yang F, Pang Z, Yang Z, Yang Y, Wang Y, Jia P, Wang D, Cui S. Yang F, et al. Exp Ther Med. 2023 Oct 17;26(6):558. doi: 10.3892/etm.2023.12258. eCollection 2023 Dec. Exp Ther Med. 2023. PMID: 37941593 Free PMC article.
48-Month Clinical Outcomes and Prognostic Factors in an All-Comers Population with Acute Coronary Syndrome and Chronic Coronary Syndrome Undergoing Percutaneous Coronary Intervention with a Sirolimus-Eluting Stent.
Tyczynski M, Kern A, Buller P, Gil RJ, Bil J. Tyczynski M, et al. J Pers Med. 2023 Nov 3;13(11):1573. doi: 10.3390/jpm13111573. J Pers Med. 2023. PMID: 38003888 Free PMC article.
The impact of short hospital stay on prognosis after acute myocardial infarction: An analysis from the ACSIS database.
Tomer O, Leibowitz D, Einhorn-Cohen M, Shlomo N, Dobrecky-Mery I, Blatt A, Meisel S, Alcalai R. Tomer O, et al. Clin Cardiol. 2021 Jun;44(6):748-753. doi: 10.1002/clc.23652. Epub 2021 May 26. Clin Cardiol. 2021. PMID: 34041766 Free PMC article.

See all "Cited by" articles

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions

Grants and funding

CS/15/7/31679/BHF_/British Heart Foundation/United Kingdom

LinkOut - more resources

Full Text Sources
- Ovid Technologies, Inc.
- Silverchair Information Systems
Other Literature Sources
- H1 Connect - Access expert opinions and insights on biomedical research.
- The Lens - Patent Citations Database
Medical
- ClinicalTrials.gov

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Collaborators

2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Authors

Collaborators

Erratum in

Comment in

Similar articles

Cited by

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Erratum in

Comment in

Similar articles

Cited by

Publication types

MeSH terms

Related information

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical